BEUDAMED
    FDA Adverse Event Other Summary report: N

    ARJO AMBULIFT BSQ

    MDR report key: 61050 · Received January 3, 1997

    Report

    Report Number
    1922538-1997-00003
    Event Type
    Other
    Date Received
    January 3, 1997
    Date of Event
    December 16, 1996
    Report Date
    January 2, 1997
    Manufacturer
    ARJO MANUFACTURING CO.
    Product Code
    FSA
    Product Problem
    Yes
    Report Source
    Manufacturer report
    Reporter Location
    UK
    Reporter Occupation
    OTHER

    Narratives

    Additional Manufacturer Narrative · 1

    THE FOLLOWING IS A CLOSE OUT REPORT BY THE FOREIGN REPORTER. INVESTIGATION: A WHEEL ON THE SUB-CHASSIS WAS ALSO FOUND TO BE LOOSE AND HAD FELL OUT, THIS WAS RE-TIGHTENED. THE BACK REST SCREWS WERE LOOSE AND TWO WERE MISSING ALTOGETHER. OBSERVATIONS: 5 OTHER DEVICES

    Description of Event or Problem · 1

    THE PICK UP HOOK OF THE JIB HAS BECOME DEFORMED AND ALLOWED THE CHAIR TO BE DISLODGED AS A PT WAS BEING HOISTED INTO THE BATH. THE CHAIR AND PT DID NOT FALL TO THE FLOOR AND INJURY HAS NOT OCCURRED. ONE PERSON INVOLVED.

    Devices

    Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
    1 ARJO AMBULIFT BSQ PATIENT HOIST FSA ARJO MANUFACTURING CO. AB1402 NA

    Patients

    Seq Age Sex Outcome Treatment
    1 UNKNOWN Other